"한국의 의사상, 2014"의 역량 규정에 대한 의과대학의 교육현실과 기대수준 분석

양은배,신혜경,서덕준,한재진,Yang, Eunbae B.,Shin, Hyekyung,Suh, Dukjoon,Han, Jae Jin 연세대학교 의과대학 2018 의학교육논단 Vol.20 No.3

The aim of this study is to determine whether the 65 competencies, defined in "the role of Korean doctor, 2014", are suitable for basic medical education phase in Korea. It seeks to analyze the gap among the educational reality and expectation, assessment situation of the competencies above. We also try to define issues of the development, application and assessment phases of competency-based medical education (CBME) at individual medical schools. We designed survey tools based on the Miller's assessment pyramid (knowledge, explanation, demonstration, and performance) for each of the 65 competencies. The survey distributed to 41 medical schools in April 2015 and 38 replies were received (92.7%). Competencies that matched both the educational reality and expectation were numbers 1 (patient care), 33 (social accountability), and 49 (professionalism). However, all the other competencies ranked lower in current status than that of desirable level. 54 out of 65 competencies (83.07%) remained at the knowledge and explanation level when each competence were assessed. In the development, application, and assessment phases of CBME, common issues that medical schools commonly noted were difficulty linking competencies to curriculum preparation and student assessment, the lack of faculty's understanding, difficulty to reach consensus among faculties, and absence of teaching and learning methods and assessment tools that fits CBME. For the successful settle down of CBME, there is a need for efforts to develop the model of graduate outcomes, to share information and experience, and to operate faculty development program by the medical education communities.

의과대학 교원 현황과 업적평가제도 특징 분석

양은배,이태선,조명자 연세대학교 의과대학 2019 의학교육논단 Vol.21 No.1

The aim of this study is to analyze the current status and performance evaluation systems of faculty in Korean medical colleges and professional graduate medical schools (called medical schools). We developed a research tool based on previous studies and distributed it to 40 medical schools from July to October 2017. The response rate was 100%. We calculated the number of faculty members and analyzed the faculty evaluation systems and awareness according to national and private medical schools. As of 2017, the number of medical faculty in Korea was 11,111 (4,973 faculty were employed by their alma mater, which is 44.76% of the total), with non-medical doctor faculty accounting for 754 of the total. The medical schools reflect research achievements as most important for re-appointment and screening to promote faculty, and the area of education is secondary excepting clinical faculty of private medical schools. However, important issues in the faculty evaluation deal with the relevance of research achievement and the need for qualitative assessment. Some medical schools revised or have been revising the faculty evaluation system in areas such as minimum standards of education for promotion and separation of promotion and tenure review. Opening non-tenure track lines for faculty show positive effects such as increasing the number of positions for hire and easing the financial burdens of medical schools. Downfalls include inconsistencies between the responsibilities and actual practices of tenure not being available and the instability of faculty’s status. In conclusion, medical schools need to prepare a faculty evaluation system that fits the position of faculty members and attempt to establish a reasonable compensation system.

근거중심의학 교육과정의 개발과 적용

양은배,Yang, Eun-Bae 연세대학교 의과대학 2001 의학교육논단 Vol.3 No.1

의학교육의 최근 동향

양은배,Yang, Eun-Bae 연세대학교 의과대학 2005 의학교육논단 Vol.7 No.1

의학교육, 어디로 가고 있는가?

양은배 한국의학교육학회 2011 Korean journal of medical education Vol.23 No.2

의과대학생의 미래와 진로지도

양은배,Yang, Eun-Bae 연세대학교 의과대학 2006 의학교육논단 Vol.8 No.1

의사에게 있어 자신의 적성과 능력에 부합하는 세부 전공을 선택하는 것은 자신의 자아실현뿐만 아니라 환자들에게도 중요한 의미를 갖는다. 이것은 의과대학생들의 전공 선택을 위해 의과대학 재학 중에 이루어지는 진로개발의 중요성을 시사한다. 이 글은 의과대학생 개개인의 적성과 소질에 따른 전공 선택을 어떻게 지도할 수 있는지 단계별 진로지도 전략에 대해 고찰하였다. 전공 선택 지도의 첫 번째 단계는 자기평가이다. 자기평가는 자신의 적성과 능력에 맞는 전공을 선택하기 위해 스스로에 대한 정보를 모으고 이해하는 과정이다. 두 번째는 전공탐색 단계이다. 이 단계는 자신의 적성과 능력에 부합할 가능성이 높은 전공과목에 대한 정보를 수집하는 것이다. 세 번째는 전공 선택 단계이다. 이 과정은 학생 스스로에 대한 자기평가 결과 및 전공에 대한 탐색 결과에 기초하여 자신이 어떤 분야에 더 적합한가에 대한 의사결정을 하는 과정이다. 전공 선택을 위한 접근 방법의 마지막은 전공 영역의 수련을 위해서 자신이 결정한 전공 선택을 이행하는 단계이다. 이 단계에서는 자신이 선택한 전공영역, 그리고 전공의 수련교육과정을 제공하는 교육기관에 응시원서를 제출하고, 면접을 실시하는 과정이 포함된다. 의과대학생들이 자신의 적성과 소질에 따른 전공 선택과 의과대학생 개개인의 선택의 문제를 넘어 의료 인력의 수급, 의료서비스의 질적인 수준과 밀접하게 관련되어 있다. 그러므로 의과대학은 대학의 책무성 수행차원에서 학생들의 가치관 확립과 진로지도를 위한 체계적인 학생 진로지도 프로그램을 개발하고 학생들을 적극적으로 지원해야 한다.

의과대학 학생 1인당 적정 교육비 추계

양은배,이승희 한국의학교육학회 2009 Korean journal of medical education Vol.21 No.3

Purpose: This study aims to estimate the optimal educational cost per medical student. Methods: A private medical college in Seoul was targeted by the study, and its 2006 learning environment and data from the 2003~2006 budget and settlement were carefully analyzed. Through interviews with 3 medical professors and 2 experts in the economics of education, the study attempted to establish the educational cost estimation model, which yields an empirically computed estimate of the optimal cost per student in medical college. Results: The estimation model was based primarily upon the educational cost which consisted of direct educational costs (47.25%), support costs (36.44%), fixed asset purchases (11.18%) and costs for student affairs (5.14%). These results indicate that the optimal cost per student is approximately 20,367,000 won each semester; thus, training a doctor costs 162,936,000 won over 4 years. Consequently, we inferred that the tuition levels of a local medical college or professional medical graduate school cover one quarter or one-half of the per- student cost. Conclusion: The findings of this study do not necessarily imply an increase in medical college tuition; the estimation of the per-student cost for training to be a doctor is one matter, and the issue of who should bear this burden is another. For further study, we should consider the college type and its location for general application of the estimation method, in addition to living expenses and opportunity costs.

인턴제도 폐지 논의 이후의 의학교육 변화

양은배,김병수,신좌섭,Yang, Eunbae B.,Kim, Byung Soo,Shin, Jwa-Seop 연세대학교 의과대학 2015 의학교육논단 Vol.17 No.1

In light of changes in today's medical environment, whether to dismantle the 50-year-old internship training system in the Republic of Korea is under debate. Although the question remains open, discussions on such issues have drawn attention to the quality of the clinical clerkship and student career advisory programs in medical colleges. The purpose of this study is to analyze the experiential clerkship and career exploration issues. Ensuring excellence of the clerkship and career advisory sessions is an essential responsibility of educational institutions regardless of whether the intern training system is dismantled. Important objectives of the experimental clerkship include reinforcing prerequisites established by law, introducing a student practice license, developing a standardized clinical assessment and student portfolio requirement, and publishing a guidebook for clinical directors. For career exploration, it is necessary to broaden participants' experiences of specialties and to manage the variety of student career guidance programs. It is imperative for the Korean Association of Medical Colleges, in collaboration with medical colleges, to play a leading role in focusing more attention and effort on such issues.

교수학습의 의미와 일곱 가지 질문 전략

양은배 한국의학교육학회 2012 Korean journal of medical education Vol.24 No.3

의사 양성의 사회적 가치와 비용 분담을 위한 제안

양은배 대한의사협회 의료정책연구소 2019 의료정책포럼 Vol.17 No.2